Comparison of poststroke depression between acute ischemic and hemorrhagic stroke patients

Zeng, Yuxiao; Cheng, Haoran; Cheng, Lin; Huang, Guiqian; Chen, Yunbin; Tang, Wenjie; He, Jincai

doi:10.1002/gps.5444

Cited by 26 publications

(21 citation statements)

References 31 publications

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“…On the other hand, patients with haemorrhagic stroke showed a lower level of SSQOL than those with ischemic stroke. This is in line with previous ndings 51,52 on the worse functional outcome and greater depressive symptoms among patients with haemorrhagic stroke. Besides, participants with higher SSQOL displayed signi cantly higher levels of hope and self-esteem, a lower degree of disability, and fewer anxiety and depression symptoms.…”

Section: Discussionsupporting

confidence: 93%

Psychometric Properties of The 12-Item Stroke-Specific Quality of Life Scale Among Stroke Survivors In Hong Kong

Fong

2022

Preprint

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The present study examined the psychometric properties of the 12-item Stroke-Specific Quality of Life Scale (SSQOL-12) as a measure of quality of life specific to stroke in 184 stroke survivors in Hong Kong. The participants also completed a questionnaire on short form health survey (SF-12) and validating variables at baseline and 148 of them completed SSQOL-12 two months later. Confirmatory factor analysis was performed to investigate the construct validity, reliability, and longitudinal invariance of SSQOL-12 across two months. Convergent and discriminant validity was examined with respect to hope, anxiety, depression, self-esteem, and SF-12. The original 2-factor model did not reveal a superior fit and a modified 1-factor model with 4 residual covariances provided an acceptable fit to data in both waves. The SSQOL-12 factor displayed substantial factor loadings (λ = 0.40–0.87), good reliability (Ω = 0.88), temporal stability (r = 0.70), and scalar measurement invariance across time. Stroke-specific quality of life was significantly associated with ischemic stroke, lower functional disability, anxiety, and depression and higher levels of hope of self-esteem. Most of the associations remained significant after controlling for SF-12. These findings provided support for validity and reliability of the unidimensional structure for SSQOL-12 among stroke survivors.

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Section: Discussionsupporting

confidence: 93%

Psychometric Properties of The 12-Item Stroke-Specific Quality of Life Scale Among Stroke Survivors In Hong Kong

Fong

2022

Preprint

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“…Previous studies have indicated that the prevalence of PSD in hemorrhagic stroke patients was significantly higher than that of ischemic stroke patients. 9 Depressive symptoms consisting of anxiety, loss of interest, insomnia, and fatigue were more frequent in patients with hemorrhagic stroke. 9 This makes early identification and treatment of these patients critical to maximizing rehabilitation.…”

Section: Introductionmentioning

confidence: 98%

“… 9 Depressive symptoms consisting of anxiety, loss of interest, insomnia, and fatigue were more frequent in patients with hemorrhagic stroke. 9 This makes early identification and treatment of these patients critical to maximizing rehabilitation.…”

Section: Introductionmentioning

confidence: 98%

Relationship Between Depression After Hemorrhagic Stroke and Auditory Event-Related Potentials in a Chinese Patient Group

Wen¹,

Liu²,

Chen³

et al. 2022

NDT

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Purpose Post-stroke depression (PSD) is the most common psychiatric sequelae of stroke. Numerous studies revealed that event-related potentials (ERP) can reflect depression severity to a certain extent, while there is almost no research on depression after hemorrhagic stroke. Therefore, we employed a prospective cross-sectional study to explore the relationship between ERP and depression after hemorrhagic stroke. Methods A total of 74 patients with intracranial hemorrhage were included in this study. Neurological deficits were evaluated using the National Institutes of Health Stroke Scale (NIHSS) on admission. Depression severity and cognitive impairment were measured using the 17-item Hamilton Depression Scale (HAMD-17) and the Chinese version of the Montreal Cognitive Assessment (MoCA) after two weeks of treatment. All patients were conducted auditory Oddball paradigm for event-related potential mismatch negativity (MMN) and P300. Results In total, 36 patients were diagnosed with PSD at the two weeks of treatment, for a percentage of 48.6%. Depression severity of ICH patients correlated positively with both the latency of MMN (r = 0.376, P = 0.001) and P300 (r = 0.325, P = 0.005), and correlated negatively with both the amplitude of MMN (r=−0.385, P = 0.001) and P300 (r=−0.311, P = 0.007). Depression severity was negatively correlated with cognitive function after hemorrhagic stroke (r=−0.347, P = 0.002). Conclusion The latency and amplitude of MMN and P300 can well reflect the degree of depression after hemorrhagic stroke, which may help in the early diagnosis and effective treatment of PSD.

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“…Acute intracerebral hemorrhagic stroke (ICH) can be considered one of the major neurological disorders contributing to global risk of morbidity and mortality [ 1 , 2 ]. Indeed, even if it accounts for the 10–15% of total stroke events, its incidence progressively increases with age [ 3 , 4 , 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Circulating miRNA-195-5p and -451a in Patients with Acute Hemorrhagic Stroke in Emergency Department

Giordano

Trotta

Ciarambino

et al. 2022

Life

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(1) Background: In our previous study, acute ischemic stroke (AIS) patients showed increased levels of circulating miRNAs (-195-5p and -451a) involved in vascular endothelial growth factor A (VEGF-A) regulation. Here, we evaluated, for the first time, both circulating miRNAs in acute intracerebral hemorrhagic (ICH) patients. (2) Methods: Circulating miRNAs and serum VEGF-A were assessed by real-time PCR and ELISA in 20 acute ICH, 21 AIS patients, and 21 controls. These were evaluated at hospital admission (T0) and after 96 h (T96) from admission. (3) Results: At T0, circulating miRNAs were five-times up-regulated in AIS patients, tending to decrease at T96. By contrast, in the acute ICH group, circulating miRNAs were significantly increased at both T0 and T96. Moreover, a significant decrease was observed in serum VEGF-A levels at T0 in AIS patients, tending to increase at T96. Conversely, in acute ICH patients, the levels of VEGF-A were significantly decreased at both T0 and T96. (4) Conclusions: The absence of a reduction in circulating miRNAs (195-5p and -451a), reported in acute ICH subjects after 96 h from hospital admission, together with the absence of increment of serum VEGF-A, may represent useful biomarkers indicating the severe brain damage status that characterizes acute ICH patients.

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Comparison of poststroke depression between acute ischemic and hemorrhagic stroke patients

Cited by 26 publications

References 31 publications

Psychometric Properties of The 12-Item Stroke-Specific Quality of Life Scale Among Stroke Survivors In Hong Kong

Psychometric Properties of The 12-Item Stroke-Specific Quality of Life Scale Among Stroke Survivors In Hong Kong

Relationship Between Depression After Hemorrhagic Stroke and Auditory Event-Related Potentials in a Chinese Patient Group

Circulating miRNA-195-5p and -451a in Patients with Acute Hemorrhagic Stroke in Emergency Department

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